![]() ![]() ![]() It is located in the hip area and makes up the buttock (Watson 2000). ![]() The gluteus maximus muscle is often used for intramuscular (IM) injections because it is thick, fleshy, and well-supplied with blood (Greenway 2004, Workman 1999, Watson 2000). According to Burnard (2002), learners usually passively absorb knowledge, but active learning engages all our senses. This experience prompted me to reconsider my approach towards literature and its practical application. Therefore, I decided to adhere to the guidelines provided by the trust. They also mention previous studies which indicate that skin cleansing is generally not required. However, their recommendation is mainly based on the fact that their patients are often immunocompromised. The Royal Marsden (Mallet & Dougherty 2011) recommend the use of skin cleansing wipes. The trust policy dictated adherence to the guidelines provided by the Royal Marsden Hospital (Mallet & Dougherty 2011). Mallet and Dougherty (2011) have observed that the use of alcohol wipes for cleansing can lead to skin hardening. Additionally, the nurse should practice stringent hand washing. In evaluating the event, which is the third stage of Gibbs (1988) model of reflection, it is important to identify both positive and negative aspects.Īccording to Workman (1999), the use of skin cleansing wipes during IM injections is not necessary if the patient is physically clean and aseptic technique is used. Additionally, the inconsistent practices among qualified nurses made me question the entire process. However, I became perplexed about the proper use of alcohol wipes during IM injections. Since I had performed this clinical procedure before, I believed my technique was correct. The patient was present and I wanted to ensure they didn’t think I was incompetent. My nervousness and pressure increased when my mentor questioned my technique regarding skin cleansing. I felt anxious and self-conscious because I knew I was being supervised by two experienced nurses. Now, I am moving on to the second stage of Gibbs (1988) model of reflection, which involves discussing my thoughts and emotions. Understanding this, my mentor approved the decision and I proceeded with administering the injection without using the alcohol wipe.ĭuring previous instances, I had given IM injections without cleaning the site and had never been told to do so. The patient then expressed their preference to skip the alcohol wipe due to prior discomfort. However, another nurse, in front of the patient, disagreed and claimed it was unnecessary. The drug had been prepared and the patient agreed to let a student administer the injection.ĭuring the procedure, my mentor was guiding me and emphasized the use of an alcohol wipe to clean the injection site. However, on this particular occasion, I was being observed by two qualified nurses, including my mentor. I had previously witnessed this clinical skill multiple times and had also administered an IM injection under supervision. I was responsible for administering an IM injection to a patient. According to Gibbs (1988) model of reflection, the first step is to describe the events. As I researched IM injections, my understanding of this topic grew. ![]()
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